Cause-specific mortality in a population-based study of diabetes.
- 1 September 1991
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 81 (9), 1158-1162
- https://doi.org/10.2105/ajph.81.9.1158
Abstract
BACKGROUND. Mortality from vascular diseases has been reported to be high in diabetic persons. METHODS. To evaluate mortality from these and other specific causes, we examined cause-specific age-sex standardized mortality ratios in a geographically defined population of younger onset (diagnosed before age 30 and taking insulin, n = 1200) and older onset (diagnosed after age 30, n = 1772) diabetic persons followed for 8.5 years. Cause of death was determined from death certificates. RESULTS. In younger onset persons, age-sex standardized mortality ratios were significantly high (P less than .05) for all causes of death (7.5) as well as for diabetes (191), all heart disease (9.1), ischemic heart disease (10.1), other heart disease (6.3), nephritis and nephrosis (41.2), accidents (2.9), and all other causes (3.2). In older onset persons, age-sex standardized mortality ratios were significantly high for all causes of death (2.0) as well as for diabetes (16.8), all heart disease (2.3), ischemic heart disease (2.3), other heart disease (2.1), stroke (2.0), and pneumonia and influenza (1.7). CONCLUSIONS. Diabetic persons experience very high mortality, especially from vascular diseases, compared to the general population.Keywords
This publication has 29 references indexed in Scilit:
- Relation of ocular and systemic factors to survival in diabetesArchives of Internal Medicine, 1989
- Diabetes and renal mortality in the United States.American Journal of Public Health, 1985
- The Pittsburgh insulin-dependent diabetes mellitus (IDDM) morbidity and mortality study. Mortality resultsDiabetes, 1984
- Mortality from coronary heart disease and stroke in relation to degree of glycaemia: the Whitehall study.BMJ, 1983
- The Placenta as a Glucocorticoid Target Tissue: Exchange Assay of (3H)-Dexamethasone Binding and Effect of Steroids on Receptor ContentHormone and Metabolic Research, 1983
- Sex differences in coronary mortality among diabetics in Evans County, GeorgiaJournal of Chronic Diseases, 1980
- Diabetes and Glucose Tolerance as Risk Factors for Cardiovascular Disease: The Framingham StudyDiabetes Care, 1979
- Mortality from cardiovascular diseases among diabeticsDiabetologia, 1977
- Differences in cardiovascular morbidity and mortality between previously known and newly diagnosed adult diabeticsDiabetologia, 1977
- Factors associated with long-term survival of diabeticsJAMA, 1970